Employee Information

Step 1: Choose the program(s) you want to support

Area of greatest need - Employee Giving Committee will decide where the dollars are needed the most.

Immediate Needs Fund - Assists patients/participants who do not have access to basic necessities that affect their health and well-being.

Employee proposals - Sites/departments will be able to submit a brief proposal for consideration to support the patients, participants, and communities we serve.

STEP 2: Tell us how much and how many installments

Your donation amount will be split evenly amongst all the programs you select to support.

A. Ongoing deduction (Recurring pay periods)

Recurring Donation per pay period

Amount $ Per Pay Period

Recurring Pay Periods

B. 1-year commitment

Donation per pay period x 26 pay periods

Amount $ Per Pay Period

26 Pay Periods

C. One-time deduction

Donation per pay period x 1 pay period

Amount $ Per Pay Period #2

1 Pay Period

TOTAL DONATION AMOUNT

If you selected option A, recurring payments, the total amount is the dollar amount per pay period that will be deducted and does not reflect the total donation you will make.

Total Amount

Acknowledgement

Acknowledgement
*

I acknowledge that I am instructing AltaMed Health Services Corporation to make automatic payroll deductions for my participation in the employee giving program. I understand I can modify or cancel my participation at any time in the future.

I understand that my authorized deduction will stay in place for the length of time I have designated above unless I inform the Development department in writing of my decision to modify or cancel the deductions. There are no reimbursements once a deduction has been made.

I understand that my participation in the employee giving program is completely voluntary and that I will not receive compensation or benefits for my participation.

Please enter your full name below to confirm your participation in the program:
*

Note: Payroll deductions will always start with the beginning of a new pay period.

For all program inquiries, changes to pledge amounts or cancellation of pledge please email the Development Department at [email protected]

AltaMed GIVES empowers our over 2,500 employees to harness the power of their tax-deductible contributions and volunteer efforts to benefit the patients we serve. Participating in this employee-led program is easy – employees can make either a one-time monetary donation or select to make automatic payroll deductions via AltaMed’s payroll system. Here’s the fun part: YOU get to decide which programs, services and activities we support! By coming together with your fellow employees to support our community, we can make a difference in the lives of the patients we serve.